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儿童慢性腹泻的病因:沙特阿拉伯利雅得哈立德国王大学医院的经验

Aetiology of chronic diarrhoea in children: experience at King Khalid University Hospital, Riyadh, Saudi Arabia.

作者信息

Abdullah A M

机构信息

Department of Paediatrics, King Khalid University Hospital, Riyadh, Saudi Arabia.

出版信息

Ann Trop Paediatr. 1994;14(2):111-7. doi: 10.1080/02724936.1994.11747702.

DOI:10.1080/02724936.1994.11747702
PMID:7521625
Abstract

Forty-eight cases of chronic diarrhoea in children seen at King Khalid University Hospital over a 5-year period were analysed. The mean age at presentation was 1.8 years (range 0.08-10 years); 34 were boys and 14 girls. Forty-four patients were Saudi and four were non-Saudi Arabs. Most children presented with failure to thrive and pallor. The aetiological factors identified were: the post-gastro-enteritis syndrome with or without lactose intolerance in 16 (33%); coeliac disease in ten (21%); congenital chloride diarrhoea in five (10%); glucose-galactose malabsorption and acrodermatitis enteropathica, each in three (6%); ulcerative colitis, intestinal lymphangiectasia, cow's milk protein intolerance and ataxia telangiectasia, each in two (4%); and giardiasis, immune deficiency and cystic fibrosis, each in one (2%). Five children died.

摘要

对在哈立德国王大学医院5年期间接诊的48例儿童慢性腹泻病例进行了分析。就诊时的平均年龄为1.8岁(范围0.08 - 10岁);其中34例为男孩,14例为女孩。44例患者为沙特人,4例为非沙特阿拉伯人。大多数儿童表现为生长发育迟缓及面色苍白。确定的病因如下:伴有或不伴有乳糖不耐受的肠胃炎后综合征16例(33%);乳糜泻10例(21%);先天性氯腹泻5例(10%);葡萄糖 - 半乳糖吸收不良和肠病性肢端皮炎各3例(6%);溃疡性结肠炎、肠淋巴管扩张症、牛奶蛋白不耐受和共济失调性毛细血管扩张症各2例(4%);贾第虫病、免疫缺陷和囊性纤维化各1例(2%)。5名儿童死亡。

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